| NPI | 1922242940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05003962A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 005460) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2019-10-24 |